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Mark Mazenko — NPI 1659075802, Madison, TN | NPI Central

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Mark Mazenko

NPI 1659075802 · Technician/Technologist · Madison, TN

Provider details

NPI number: 1659075802
Entity type: Individual
Primary specialty: Technician/TechnologistEye and Vision Services Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Technician/TechnologistPrimary156F00000X
Eye and Vision Services Providers

Practice location

600 Rothwood Ave Apt B9

Madison, TN 37115-4936

Phone: (256) 527-8721

Approximate (ZIP-level) locationGet directions

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Mailing address

600 Rothwood Ave Apt B9

Madison, TN 37115-4936

Registry dates

Enumerated: 2023-03-29
Last updated: 2023-03-29
Certified: 2023-03-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.